Vietnam has announced that, starting 1 January 2026, it will provide full reimbursement for medical examination and treatment costs under its national health insurance system to citizens from near-poor households and seniors aged 75 and above who receive social pension benefits.
This policy expansion follows a resolution passed by the National Assembly on 11 December 2025, as confirmed by the Ministry of Health. The initiative is part of the government’s ongoing effort to enhance healthcare access and reduce the financial burden on the country’s most vulnerable populations.
According to the Ministry of Health, an urgent notice issued on 6 January 2026 instructed Vietnam Social Security, operating under the Ministry of Finance, as well as provincial and municipal health authorities and medical facilities nationwide, to promptly update benefit codes and procedures to reflect the inclusion of the newly eligible groups.
Under the revised policy, individuals from near-poor households will benefit from a full 100% reimbursement of covered medical expenses, up from the previous 95% coverage. Seniors aged 75 and above who receive social pensions will also receive complete coverage for their health-related costs. The move ensures that these citizens can access necessary medical services without the pressure of out-of-pocket payments.
Health experts and social policy analysts have praised the expansion, noting that it could significantly reduce the incidence of delayed treatment among older adults and low-income families, potentially lowering long-term healthcare costs by addressing health issues earlier.
The table below summarises the key changes in reimbursement rates for the newly eligible groups:
| Eligible Group | Previous Reimbursement | New Reimbursement | Effective Date |
|---|---|---|---|
| Near-poor households | 95% | 100% | 1 January 2026 |
| Seniors aged 75+ receiving social pensions | Partial/Varies | 100% | 1 January 2026 |
The government has emphasised that this policy is part of a broader strategy to strengthen social protection and health equity. Authorities are also exploring further measures to expand coverage and streamline claims processing for all insured citizens.
By increasing access to healthcare for these key populations, Vietnam aims to foster a more inclusive, resilient health system, ensuring that financial barriers do not prevent citizens from receiving timely and adequate medical care.